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California Bans the Inclusion of Policy Provisions Giving Insurance Companies Discretionary Authority to Decide Claims
In a major victory for consumers, Governor Jerry Brown signed a bill that makes discretionary clauses – typically contained in ERISA-governed life, health and disability insurance policies/ERISA plans void and…
California Announces Investigation of MetLife for Failure to Pay Life Insurance Benefits
On April 25, 2011, California Insurance Commissioner Dave Jones and California State Controller John Chiang announced that they are investigating Metropolitan Life Insurance Company (“MetLife”) for a failure to pay…
Fighting An Insurance Claim Denial Will Often Pay Off
It will not be surprising to many readers of this blog that insurance companies often deny life insurance, health insurance and disability insurance claims. Many times, insurance companies are wrong…
California Insurance Commissioner Jones Announces New Regulations On Annuities For Seniors
In recent years there have been many cases of insurance agents selling unsuitable annuities to members of the public, especially seniors. These annuities typically involve large premiums and very large…
California Supreme Court Prohibits the Collection of ZIP Codes
The collection of ZIP codes by retailers may now be prohibited following the recent California Supreme Court decision in Pineda vs. William Sonoma, __ Cal. 4th__ (February 10, 2011). Writing…
Dental Hygienist Wins Large Jury Verdict in Disability Insurance Lawsuit
In 1996, Plaintiff Laura Kieffer developed carpal tunnel syndrome and severe cervical pain which forced her to stop working as a dental hygienist. Thereafter, Kieffer started receiving disability payments under…
Nurses’ Association Study Shows That California Insurers Denied 26 Percent of All Health Insurance Claims in 2010
Despite more attention focused on the nation’s largest health insurance companies with their recent requests for large premium increases and with all of the talk about national healthcare reform, California’s…
Dave Jones Reveals the Priorities for His Tenure as California’s Insurance Commissioner
California’s new Insurance Commissioner, Dave Jones, identified his priorities at his inauguration on January 3. He plans to accomplish his objectives by making the California Department of Insurance “the strongest…
California’s Office of Administrative Law Approves Homeowners Underinsurance Regulations
Because of fairly recent California wild fires and California’s history of rising property values (at least this was the case a few years ago), many California homeowners have found themselves…
California’s Largest Health Insurers are Fined by California Department of Managed Health Care for Inadequate Claims Practices
In today’s Los Angeles Times Business Section, Duke Helfand writes about an 18-month investigation by the California Department of Managed Health Care into the payment practices of Aetna Inc.,…
